13.4.19

An atypical Fournier’s gangrene had resulted in perianal sepsis. The patient, a 50 years old male, first presented with pain and tenderness in the scrotum. There was a palpable crepitus in the scrotum – pneumoscrotum. CT scan showed a lot of gas in the scrotum.

The patient was treated with antibiotics and the pneumoscrotum gradually resolved but the patient developed a soft urethral stricture which was dilated.

Also he developed a perianal abscess which was drained. However, this eventually ended up in a complex horse-shoe fistula which was excised.

22.4.19

A supposed hydrocelectomy had to be converted into orchiectomy. Dr jagbir’s case. Hard testicular tumor with necrotic areas.

6.6.19

Called for strangulated right inguinal hernia in a 70 years old male Dr Vikram’s case). REEA of about 6 inches length of gangrenous ileum had to be done.

21.6.19

A huge recurred dermatofibrosarcoma of the left thigh in an elderly female was excised followed by skin grafting of the defect.

25.6.19

Sacrocolpopexy for vault prolapse. Previously had laparoscopic hysterectomy 20 years back at Doraha. (Dr Arora’s case).

26.6.19

Nephrectomy for non-functioning left kidney (due to stones of many decades standing) in a 68 years old female from himachal pradesh.

18.7.19

Sigmoid colon cancer resected with colorectal anastomosis. the adherent ileal loops as well as the adherent part of anterior abdominal wall excised too along with the colon cancer. A colorectal anastomosis and an ileo-ileal anastomosis had be made.

19.7.19

Laparotomy for recurrent episodes of small bowel obstruction in a 58 years old man. At operation, a stricturing tumour of the ileum was found. This was excised and EEA performed. Biopsy report was GIST.